Zang Fu 2: 8 Principle Pattern Id Flashcards
What does interior vs exterior help us to determine?
The depth of the disease and its location. Give us insight into the severity and potential development of disease.
What is the key sx of exterior pattern?
Is it acute or chronic?
T/P
Simultaneous chills and fever
Acute onset (easily cured)
T: normal with white or sl yellow coating
P: **superficial **
What is the key distinguishing symtoms for exterior heat vs exterior cold pattern? What is the difference in pulse?
Exterior heat has sore throat + superficial & rapid
Exterior cold does not + superficial & tight
What are the two exterior cold patterns?
Exterior deficiency cold and exterior excess cold
Does exterior heat pattern have sweating sx?
Yes
Does exterior excess cold have sweating sx?
No
(think Ma Huang Tang- you’ll need something stronger to knock this out)
Does exterior deficiency cold have sweating sx?
Yes!
(thing gui zhi tang– gui zhi is a weaker diaphoretic compared to ma huang)
What is the difference between an exterior excess cold pulse and an exterior deficient pulse?
exterior excess cold–> superficial & tight
exterior deficient –> superficial & moderate
Is there an exterior excess heat pattern?
NO
Is there an exterior deficiency heat pattern?
NO
Is the onset of interior patterns acute or chronic?
Chronic
Where are interior patterns located?
In Zang Fu Organs
Relative to the location of exterior patterns, are interior patterns more superficial or deep?
Deep
What are some key sx of interior patterns?
T & P
Fever or chills
Thirst w/ desire to drink
nausea, vomiting, bitter tast in mouth
T: red or crimson, blue, purple body w/ yellow greasy or gray tongue coating
P: deep pulse
What does cold and heat help us to differentiate?
The nature of a disease and **condition of the yin and yang **
(increase and decrease of yin and yang)
For someone with interior excess cold pattern, does putting on a coat warm them up?
NO!
(aversion/dislike of cold)
What is the key distinguishing sx for interior excess cold and interior deficiency cold?
Type of chills
Interior excess cold: dislike of cold/aversion (coat does not help)
Interior deficiency cold: afraid / intolerance of cold ( jacket warms them up ; can get over their ‘fear’)
average d – aversiondislike
afi – afraid intolerance
For someone with interior deficiency cold pattern, does putting on a coat warm them up?
Yes!
(afraid of cold)
What is the difference in pulse for interior excess cold vs interior deficiency cold?
Excess cold: slow and tight
Deficiency cold: slow and weak, deep
chills in external cold vs internal cold
external: aversion to cold (not relieved)
internal: afraid of cold (relieved)
What is the difference in pathogenesis of excess heat pattern and deficiency heat pattern?
Excess heat: yang qi excess
Deficiency heat: yin deficiency
For excess and deficiency heat patttern what is the difference in the time of sweating?
excess heat : day time sweating
deficiency heat: night time sweating
What does antipathogenic qi denote?
the body’s function activities, resistance and recovery capacity
What are the pathogenic qi?
Also known as evil qi
wind, heat, dryness, cold, dampness, phlegm, blood stasis, etc
Given the concept of deficiency and excess, which is from the pathogenic factor’s point of view?
Excess
Given the concept of deficiency and excess, which indicates antipathogenic qi condition?
Deficiency
Is the strength of the patient’s consitution stronger in excess pattern or deficiency pattern?
Excess
What type of chills appears in yang deficiency (deficiency cold) pattern?
Afraid/fear of cold (coat warms them up)
What type of sweat do we see with yin collapse?
Profuse warm and sticky sweating and salty
Which zangfu organs is yin collapse related to?
Heart
Liver
Kidney
(hell’s kitchen)
Is yin collapse a critical condition?
Yes it is a critical pathological condition
What zang fu organs is yang collapse related to?
Heart and Kidney
What type of sweat do we see with yang collapse?
Oily cold sweating w/ no taste
Yang Collapse T & P
T: moist pale
P: thin and minute
(feeble breath, listlessness, bluish complexion, stupor or coma)
Yin Collapse T & P
T: Dry, red or crimson
P: thin, rapid and weak
(coma or fidget)
Between True Cold, False Heat and
False Cold, True Heat, which is a critical condition?
True Cold, False Heat
False heat or cold mostly shows on the ____ while true heat or cold mostly shows on the _________
False on the extremities, true mostly on the torso near the zang fu organs
For True excess with false xu what do we see?
Fatigue, dislikes to talk, abdominal distention, loose stool, deep pulse. Fatigue with desire for activity, and feels relief after activity. Feels more comfortable after passing stool. Sonorous, loud voice. Deep and forceful pulse. Thin, small, cracked, tough tongue. Acute condition.The but the pulse excess
(Appears deficient but pulse is excess; acute)
With True xu with false excess what do we see?
Abdominal fullness, distention and pain, wiry pulse. Intermittent, paroxysmal distention and fullness. Pain relieved by pressure. Wiry and** forceless pulse, **without root. Low fever, constipation with small amount soft stool and soft abdomen, clear scanty urine, asthma with shortness of breath. Tender tongue. Chronic condition.
**(Appear excess but pulse is deficienct; chronic) **
True xu with false excess Sx
What are the four major aspects to focus on when distinguishing between true and false phenomena in xu and excess?
- Strengthen of the pulse
- Toughness of the tongue
- Volume of the voice
- Patient constitution, cause of the disease, and its treatment and development process
